mTOR inhibitors: facing new challenges ahead
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Updated: Jun 1, 2026

Implementation of In Vitro Drug Resistance Assays: Maximizing the Potential for Uncovering Clinically Relevant Resistance Mechanisms
Published on: December 9, 2015
1Queen Mary University of London, Barts and The London School of Medicine and Dentistry, Blizard Institute of Cell and Molecular Science, Centre for Diabetes, Inositide Signalling Group, London E1 2AT, UK.
Abstract:
The enzyme mammalian target of rapamycin (mTOR) is a master kinase that regulates several critical intracellular processes. It is now well established that this enzyme has a key role in cancer and its inhibition as therapeutic anti-cancer strategy is well recognised. Several clinical trials using mTOR inhibitors have been and are currently being performed. A huge scientific literature exists not only reporting the results of these trials but also discussing the reasons for the limited efficacy of strategies used so far and the need for new strategies to overcome the problem of resistance. The aim of this review is mainly to reflect on how the complexity of the mTOR-dependent signalling pathway and our difficulty to untangle it can ultimately affect the development of proper strategies to fully exploit the potential benefits of mTOR inhibition as anti-cancer strategy.
Insights
The mammalian target of rapamycin (mTOR) pathway is crucial in cancer, but inhibiting it has limited efficacy. Understanding mTOR pathway complexity is key to developing better anti-cancer strategies.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Mammalian target of rapamycin (mTOR) is a key kinase regulating intracellular processes.
- mTOR plays a critical role in cancer development and progression.
- Inhibiting mTOR is a recognized anti-cancer therapeutic strategy, with ongoing clinical trials.
Purpose of the Study:
- To review the current understanding of mTOR signaling in cancer.
- To discuss the challenges and limitations in current mTOR inhibitor efficacy.
- To explore how pathway complexity impacts the development of novel anti-cancer strategies targeting mTOR.
Main Methods:
- Literature review of scientific publications and clinical trial results.
- Analysis of the mTOR-dependent signaling pathway.
- Discussion of resistance mechanisms and future therapeutic strategies.
Main Results:
- Significant scientific literature exists on mTOR inhibitors in clinical trials.
- Limited efficacy and resistance are major challenges in current mTOR-targeted cancer therapy.
- The complexity of the mTOR pathway hinders the development of optimal therapeutic strategies.
Conclusions:
- Despite its recognized role in cancer, the clinical efficacy of mTOR inhibitors is often limited.
- Overcoming resistance requires a deeper understanding of the intricate mTOR signaling network.
- Future strategies must address pathway complexity to fully leverage mTOR inhibition for cancer treatment.
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